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Contact Information

JULIE L GRIESS, CNA
2964 NE DOUGLAS AVE
ROSEBURG, OR97470-3726
 Phone: 541-680-2008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Public Health, Federal

261QP0904X
 

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for

NPI # 1780086025
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/18/2014
Last updated 09/18/2014 - About 12 years ago
Identifiers
OR License # 261QP0904X
OR License # 261QV0200X
OR License # 314000000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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